Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $238.72 / $497.33	Professional		$182.40	$238.72	$497.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.37 / $86.49 / $542.04	Professional	26	$67.37	$86.49	$542.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.54 / $163.98 / $359.94	Professional	TC	$131.54	$163.98	$359.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.02 / $299.45 / $326.69	Professional		$245.02	$299.45	$326.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $91.09 / $106.27	Professional	26	$60.73	$91.09	$106.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $147.24 / $147.24 / $147.24	Professional	TC	$147.24	$147.24	$147.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $195.98 / $220.47	Professional		$122.49	$195.98	$220.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $57.95 / $65.20	Professional	26	$36.22	$57.95	$65.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.27 / $138.02 / $155.28	Professional	TC	$86.27	$138.02	$155.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $178.51 / $365.89	Professional		$109.09	$178.51	$365.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $78.47 / $120.95	Professional	26	$37.99	$78.47	$120.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.73 / $109.21 / $264.33	Professional	TC	$66.73	$109.21	$264.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $272.24 / $414.50	Facility		$182.40	$272.24	$414.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.77 / $358.77 / $358.77	Facility	26	$358.77	$358.77	$358.77
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $943.11 / $943.11 / $943.11	Facility	TC	$943.11	$943.11	$943.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $260.19 / $1,813.36	Professional		$124.64	$260.19	$1,813.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.33 / $95.28 / $509.36	Professional	26	$47.33	$95.28	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.25 / $179.29 / $1,303.99	Professional	TC	$77.25	$179.29	$1,303.99
United Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $178.42 / $351.00	Professional		$124.64	$178.42	$351.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.33 / $51.97 / $108.01	Professional	26	$47.33	$51.97	$108.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.25 / $125.25 / $251.09	Professional	TC	$77.25	$125.25	$251.09